Provider Demographics
NPI:1467141176
Name:WEST COAST SLEEP CLINIC PLLC
Entity Type:Organization
Organization Name:WEST COAST SLEEP CLINIC PLLC
Other - Org Name:WEST COAST SLEEP CENTER
Other - Org Type:Doing Business As
Authorized Official - Title/Position:PRINCIPAL
Authorized Official - Prefix:DR
Authorized Official - First Name:BRYAN
Authorized Official - Middle Name:
Authorized Official - Last Name:SCUTERI
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:727-317-3088
Mailing Address - Street 1:11200 SEMINOLE BLVD STE 303
Mailing Address - Street 2:
Mailing Address - City:LARGO
Mailing Address - State:FL
Mailing Address - Zip Code:33778-3239
Mailing Address - Country:US
Mailing Address - Phone:727-317-3088
Mailing Address - Fax:
Practice Address - Street 1:11200 SEMINOLE BLVD STE 303
Practice Address - Street 2:
Practice Address - City:LARGO
Practice Address - State:FL
Practice Address - Zip Code:33778-3239
Practice Address - Country:US
Practice Address - Phone:727-613-4178
Practice Address - Fax:813-550-1156
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2023-05-08
Last Update Date:2023-10-31
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QM2500XAmbulatory Health Care FacilitiesClinic/CenterMedical Specialty
No261QS1200XAmbulatory Health Care FacilitiesClinic/CenterSleep Disorder Diagnostic